TY - JOUR
T1 - Uterine septum
T2 - a guideline
AU - Pfeifer, Samantha
AU - Butts, Samantha
AU - Dumesic, Daniel
AU - Gracia, Clarisa
AU - Vernon, Michael
AU - Fossum, Gregory
AU - La Barbera, Andrew
AU - Mersereau, Jennifer
AU - Odem, Randall
AU - Penzias, Alan
AU - Pisarska, Margareta
AU - Rebar, Robert
AU - Reindollar, Richard
AU - Rosen, Mitchell
AU - Sandlow, Jay
AU - Widra, Eric
N1 - Publisher Copyright:
© 2016 American Society for Reproductive Medicine
PY - 2016/9/1
Y1 - 2016/9/1
N2 - The purpose of this guideline is to review the literature regarding septate uterus and determine optimal indications and methods of treatment for it. Septate uterus has been associated with an increase in the risk of miscarriage, premature delivery, and malpresentation; however, there is insufficient evidence that a uterine septum is associated with infertility. Several studies indicate that treating a uterine septum is associated with an improvement in live-birth rates in women with a history of prior pregnancy loss, recurrent pregnancy loss, or infertility. In a patient without infertility or prior pregnancy loss, it may be reasonable to consider septum incision following counseling regarding potential risks and benefits of the procedure. Many techniques are available to surgically treat a uterine septum, but there is insufficient evidence to recommend one specific method over another.
AB - The purpose of this guideline is to review the literature regarding septate uterus and determine optimal indications and methods of treatment for it. Septate uterus has been associated with an increase in the risk of miscarriage, premature delivery, and malpresentation; however, there is insufficient evidence that a uterine septum is associated with infertility. Several studies indicate that treating a uterine septum is associated with an improvement in live-birth rates in women with a history of prior pregnancy loss, recurrent pregnancy loss, or infertility. In a patient without infertility or prior pregnancy loss, it may be reasonable to consider septum incision following counseling regarding potential risks and benefits of the procedure. Many techniques are available to surgically treat a uterine septum, but there is insufficient evidence to recommend one specific method over another.
UR - http://www.scopus.com/inward/record.url?scp=84978717762&partnerID=8YFLogxK
U2 - 10.1016/j.fertnstert.2016.05.014
DO - 10.1016/j.fertnstert.2016.05.014
M3 - Article
C2 - 27235766
AN - SCOPUS:84978717762
VL - 106
SP - 530
EP - 540
JO - Fertility and Sterility
JF - Fertility and Sterility
SN - 0015-0282
IS - 3
ER -